Registration Form for LIA/LIT Summer 2023 Courses
Student Name
First Name
Middle Name
Last Name
Preferred Pronouns
Please Select
She/her/hers
He/him/his
They/them/theirs
She/they
He/they
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Student E-mail
example@example.com
Mobile Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Name (if student is under 18)
First Name
Last Name
Parent Email
example@example.com
Parent Phone Number
Please enter a valid phone number.
Camp/Class Selection
prev
next
( X )
Theatre Camp 1
Grades K-3 (Ages 5-8) / June 26-30 / 10-10:50a
$
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Theatre Camp 2
Grades 4-6 (Ages 8-11 )/ June 26-30 / 11a-12noon
$
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Theatre Camp 3
Middle School (Ages 12-14) / June 26-30 / 1-2:20p
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Theatre Camp 4
High School (Ages 14-18) / June 26-30 / 2:30-4p
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Production Camp 1
Ages 8-11 / JULY 10-13 / 10a-3p & JULY 14 / 10a-8p
$
125.00
Quantity
1
2
3
4
5
6
7
8
9
10
Production Camp 2
Ages 12+ / JULY 10-13 / 10a-3p & JULY 14 / 10a-8p
$
125.00
Quantity
1
2
3
4
5
6
7
8
9
10
Design Class
Ages 15+ / Sundays, JUNE 25-AUGUST 13 / 1:30-4p
$
175.00
Quantity
1
2
3
4
5
6
7
8
9
10
Scenic Design/Painting
Ages 15+ / Mondays, JUNE 26-JULY 31 / 3:30-5:30p
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Make-Up Design
Ages 15+ / Tuesdays, JULY 11-AUGUST 1 / 3:30-5:30p *Does not include make-up kit required for class.
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Movement Workshop
Ages 15+ / Saturday, JULY 8 / 10a-1p
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Voice Workshop
Ages 15+ / Saturday, JULY 22 / 10a-1p
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Playwriting Workshops
Ages 15+ / Saturdays, JULY 15 & 29 / 10a-1p
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Additional Comments/Questions
Save
Submit
Should be Empty: